2017-2018 Coach Meade

kaitlin_meade@dekalbschoolsga.org

Consequence Clipboard

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Student Name Class

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PE Teacher Date

Directions: For the remainder of class, answer the following questions while observing the
activities of the day. If you need more room, use the back of this paper. Clearly label your
answers.

1. The reason I am not participating in PE today is...

2. Is this your first time completing a consequence clipboard?

Yes No

3. On the back of this paper, write a short paragraph about the activity being done today.
Discuss the skills and strategies used in this activity, whether you like or dislike the
activity, and detail any experience you have with the activity.
4. Also on the back of this paper, choose any student in the class to observe. Describe their
activities for the remainder of class. DO NOT identify the student by name.
5. What can you do next time to avoid completing a consequence clipboard? If you need
more room, you can use the back of this page or attach additional paper.

** Take this sheet home, sign it, and have your parent sign it. **

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Student signature Parent signature

Failure to dress out AND participate in any one class can result in a loss of up to 25 points for
your weekly participation grade. Returning a completed consequence clipboard with both
required signatures earns back 10 of those points.